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Maine rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.34 / $140.34 / $151.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $51.42 / $60.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $9.91 / $28.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $51.41 / $51.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $51.42 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.34 / $140.34 / $151.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $51.42 / $60.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $50.40 / $73.08